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01%11 jvrv%lvuq 1_1,yvt-41 l _ Vk1 'i v'%6lj <br /> -TBLIC HEALTH SERVICES <br /> ENV-wJN&TENx'AL TIF,ALTn bIVISIOiw. <br /> PUBLIC RECORI)S RELEASE APPLICA'T'ION <br /> AI�PLICIINx �lVkle PHONE NO_ Cf,4Ua _, <br /> ADDRESS 5y9. lnI.WeIoPrrst `sYoddocJ Cft <br /> AGENCY NAME PHONE NO <br /> AbDRESS <br /> FILE ADDRESS 12-AGENCY DATE <br /> 8�- <br /> 11119 NOTICE IS SUBJECT TO 111E REQUIREMENTS IDEN71t1ED IN THE PUBLIC HEALTH <br /> SPRVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY#92-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD PEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILESTRECORDS REVIEW ARE BY AEEgINTMZNT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-M40. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3 A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABB DEPOSIT OP$78.00 <br /> IS REQUIRED. DEPOSITS WILL BFi RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CIIARGE. THE VALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING T'IIE <br /> DOCUMENT(S). <br /> S. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECT73D BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OP RFLEASING OFFICIAL DATE <br /> Fli 00 14 (REV 12/92) <br /> c0'd 0Tr=t78b6 01 WMWUET:OT £661-60-LO <br />